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AMY JEAN BLEAK APRN, FNP-BC
NPI 1194239053
Nurse Practitioner in Cedar City, UT

Active since November 29, 2017PECOS Enrolled
962 SAGE DR, CEDAR CITY, UT 84720(435) 865-3460 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 6, 2024, Nov 20, 2018, Nov 29, 2017 (3 updates tracked since 2017).

About Amy Jean Bleak Aprn, Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY JEAN BLEAK APRN, FNP-BC (NPI 1194239053) is an individual nurse practitioner in Cedar City, Utah, licensed in Utah (345563-4405) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194239053
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAMY JEAN BLEAKCredential: APRN, FNP-BC
Location Address962 SAGE DRCedar City, UT 84720-1885
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (435) 865-3460
Phone(435) 865-3460
Sole ProprietorNo
Enumeration DateNovember 29, 2017
Last NPPES UpdateJune 9, 20263 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
✔ NPI 1194239053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in UT · 345563-4405
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 345563-4405 (UT)
962 SAGE DR, Cedar City, UT 84720
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1440 N Paiute DrCedar City, UT 84721-6181 · Phone (435) 865-1520 · Fax (435) 867-2658
Location 22484 W Meadow StCedar City, UT 84720-2265 · Phone (435) 592-4307

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Jean Bleak Aprn, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Amy Bleak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc
Same address
Emergency Medicine
962 SAGE DR
Cedar City, UT 84720
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1225168610 (435) 865-3440

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84720 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IHC HEALTH SERVICES INC
Emergency Medicine
962 SAGE DR
CEDAR CITY, UT 84720
Iron County (435) 865-3440
BROC B PARSON DO
Family Medicine
962 SAGE DR
CEDAR CITY, UT 84720
Iron County (435) 865-3440
IHC HEALTH SERVICES INC
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
962 SAGE DR
CEDAR CITY, UT 84720
Iron County (435) 865-3460
CEDAR CITY INSTACARE
Clinic/Center (Urgent Care)
962 SAGE DR
CEDAR CITY, UT 84720
Iron County (435) 868-5521
DR. DAVID M BROOKS MD
Family Medicine
962 SAGE DR
CEDAR CITY, UT 84720
Iron County (435) 865-3440
IHC HEALTH SERVICES INC
Radiologic Technologist
962 SAGE DR
CEDAR CITY, UT 84720
Iron County (435) 868-5502
DANICA BENNETT PA
Physician Assistant
962 SAGE DR
CEDAR CITY, UT 84720
Iron County (435) 865-3440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Bleak's NPI number?

The NPI number for Amy Bleak is 1194239053. It was assigned to this individual provider in the NPPES registry on November 29, 2017.

Where is Amy Bleak located?

Amy Bleak practices at 962 Sage Dr, Cedar City, UT 84720. The listed phone number is (435) 865-3460.

What is Amy Bleak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Amy Bleak enrolled in Medicare?

Yes. Amy Bleak is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amy Bleak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Bleak reassigns Medicare benefits to Ihc Health Services Inc (Cedar City, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Bleak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amy Bleak was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.